Healthcare Provider Details

I. General information

NPI: 1811592181
Provider Name (Legal Business Name): VANESSA KES DNP, APRN, WHNP-BC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DR. VANESSA KES

II. Dates (important events)

Enumeration Date: 12/03/2020
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5750 S WASHINGTON ST
GRAND FORKS ND
58201-7593
US

IV. Provider business mailing address

5750 S WASHINGTON ST
GRAND FORKS ND
58201-7593
US

V. Phone/Fax

Practice location:
  • Phone: 701-620-3403
  • Fax:
Mailing address:
  • Phone: 701-775-5800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number1100018
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number11093
License Number StateMN
# 3
Primary TaxonomyY
Taxonomy Code363LX0001X
TaxonomyObstetrics & Gynecology Nurse Practitioner
License NumberR55223
License Number StateND

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: